Search › Washington › 106H00000X
Matthew Russoniello
NPI 1215607494 · on the registry since 2021
Practice
- Address
- 400 S Jefferson St Ste 200
Spokane, WA 99204 - Phone
- (509) 768-6852
- Organisation at this address
- Mikolasy, Llc
Indigo Gardens Llc
Charmed Counseling
Massage For Life Llc
River City Tms, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Additional practice sites
- 107 S Division St, Spokane, WA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101Y00000X
390200000X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington